辽宁医学院学报
遼寧醫學院學報
료녕의학원학보
Journal of Liaoning Medical University
2015年
5期
67-69
,共3页
曲安奈德%利多卡因%跟骨骨质增生症
麯安奈德%利多卡因%跟骨骨質增生癥
곡안내덕%리다잡인%근골골질증생증
triamcinolone acetonide%lidocaine%calcaneus bone hyperplasia
目的 探讨曲安奈德与利多卡因局部封闭治疗跟骨骨质增生症的效果. 方法 选取2012年6月至2013年6月我院收治的96例跟骨骨质增生症患者, 随机分为对照组与观察组, 每组48例, 对照组给予25 mg泼尼松龙和1 mL 2%的利多卡因进行局部痛点注射, 观察组给予40 mg曲安奈德和1 mL 2%的利多卡因进行局部痛点注射, 治疗4 w后比较两组患者的临床疗效、 AOFAS踝-后足评分. 随访1 年后, 比较两组患者的复发率. 结果 治疗后, 观察组的治疗总有效率(94. 6%) 高于对照组 (81. 8%), 具有统计学差异 (P<0. 05); 两组患者治疗后AOFAS踝-后足疼痛、 功能、 总分均高于治疗前, 具有统计学差异 (P<0. 05); 且观察组治疗后AOFAS踝-后足疼痛、 功能、 总分均高于对照组, 具有统计学差异(P<0. 05); 随访1 年, 观察组复发率为5. 4%, 对照组为7. 3%, 两组患者复发率不具有统计学差异 (P>0. 05). 结论曲安奈德与利多卡因局部封闭治疗跟骨骨质增生症的临床疗效较好, 可缓解跟骨骨质增生症患者的疼痛, 复发率较低, 值得在临床上推广使用.
目的 探討麯安奈德與利多卡因跼部封閉治療跟骨骨質增生癥的效果. 方法 選取2012年6月至2013年6月我院收治的96例跟骨骨質增生癥患者, 隨機分為對照組與觀察組, 每組48例, 對照組給予25 mg潑尼鬆龍和1 mL 2%的利多卡因進行跼部痛點註射, 觀察組給予40 mg麯安奈德和1 mL 2%的利多卡因進行跼部痛點註射, 治療4 w後比較兩組患者的臨床療效、 AOFAS踝-後足評分. 隨訪1 年後, 比較兩組患者的複髮率. 結果 治療後, 觀察組的治療總有效率(94. 6%) 高于對照組 (81. 8%), 具有統計學差異 (P<0. 05); 兩組患者治療後AOFAS踝-後足疼痛、 功能、 總分均高于治療前, 具有統計學差異 (P<0. 05); 且觀察組治療後AOFAS踝-後足疼痛、 功能、 總分均高于對照組, 具有統計學差異(P<0. 05); 隨訪1 年, 觀察組複髮率為5. 4%, 對照組為7. 3%, 兩組患者複髮率不具有統計學差異 (P>0. 05). 結論麯安奈德與利多卡因跼部封閉治療跟骨骨質增生癥的臨床療效較好, 可緩解跟骨骨質增生癥患者的疼痛, 複髮率較低, 值得在臨床上推廣使用.
목적 탐토곡안내덕여리다잡인국부봉폐치료근골골질증생증적효과. 방법 선취2012년6월지2013년6월아원수치적96례근골골질증생증환자, 수궤분위대조조여관찰조, 매조48례, 대조조급여25 mg발니송룡화1 mL 2%적리다잡인진행국부통점주사, 관찰조급여40 mg곡안내덕화1 mL 2%적리다잡인진행국부통점주사, 치료4 w후비교량조환자적림상료효、 AOFAS과-후족평분. 수방1 년후, 비교량조환자적복발솔. 결과 치료후, 관찰조적치료총유효솔(94. 6%) 고우대조조 (81. 8%), 구유통계학차이 (P<0. 05); 량조환자치료후AOFAS과-후족동통、 공능、 총분균고우치료전, 구유통계학차이 (P<0. 05); 차관찰조치료후AOFAS과-후족동통、 공능、 총분균고우대조조, 구유통계학차이(P<0. 05); 수방1 년, 관찰조복발솔위5. 4%, 대조조위7. 3%, 량조환자복발솔불구유통계학차이 (P>0. 05). 결론곡안내덕여리다잡인국부봉폐치료근골골질증생증적림상료효교호, 가완해근골골질증생증환자적동통, 복발솔교저, 치득재림상상추엄사용.
Objective To explore the efficacy of Triamcinolone acetonide and lidocaine in partial closure treatment of calcaneal bone hyperplasia. Methods 96 patients with calcaneal bone hyperplasia were randomly divided into the control group and the observa-tion group from June 2012 to June 2013 in our hospital, with 48 cases in each group. Patients in the control group were treated with 25mg prednisolone and 1 mL 2% lidocaine topical pain point injection, while those in the observation group were treated with 40mg tri-amcinolone acetonide and 1ml 2% lidocaine topical pain point injection treatment. After 4 weeks of treatment, clinical efficacy and AOFAS ankle hind foot score of the two groups were compared. After one year of follow-up, recurrence rate of the two groups were compared. Results After treatment, total effective rate of the observation group (94. 6%) was higher than that of the control group (81. 8%), with statistically significant difference (P<0. 05). After treatment, AOFAS ankle hind foot pain score, function score and total score of the two groups were higher than before treatment, with statistically significant difference (P<0. 05). AOFAS ankle hind foot pain, function and scores of the observation group were higher than those of the control group, which was statistically significant ( P<0. 05). After 1 year of follow-up, recurrence rate of the observation group was 5. 4%, while that of the control group was 7. 3%, which was not statistically significant ( P>0. 05 ) . Conclusion Triamcinolone acetonide and lidocaine partial closure treatment has good effect, low recurrence rate and sound pain relief effect in the treatment of calcaneal bone hyperplasia, which is worthy to be intro-duced in clinical practice.
